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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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CASE REPORTS  CARDIAC SECTION


The Journal of Cardiovascular Surgery 2001 December;42(6):785-6

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Bilateral diaphragmatic paralysis after open heart surgery

Tamayo E., Alvarez F. J. **, Florez S. *, Fulquet E. *, Fernandez A. *

From the Depart­ment of Anaesthe­sio­logy, *Car­diac Sur­gery, **Phar­ma­cology and Ther­a­peu­tics, Uni­ver­sity Hos­pital and ­Faculty of Med­i­cine, Val­la­dolid, ­Spain


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The pur­pose of the ­present ­case ­report is to ­present a ­case of bilat­eral dia­phrag­matic par­al­ysis as a com­pli­ca­tion of ­open-­heart sur­gery. A 47-­year-old ­male was oper­ated for ­aortic and ­mitral ­valve replace­ment. ­After dis­con­tin­u­a­tion of seda­tion, bilat­eral dia­phrag­matic par­al­ysis as ­well as ­motor and sen­si­tive dys­func­tion in the ­four extrem­ities was ­observed. The ­patient ­remained ­with mechan­ical ven­ti­la­tion sup­port for ­twenty ­months. Two ­years ­after the oper­a­tion a com­plete nor­mal­isa­tion of the dia­phrag­matic ­motion was ­observed. ­Although ­uncommon, bilat­eral dia­phrag­matic par­al­ysis ­after ­open-­heart sur­gery ­could ­take ­place, ­being nec­es­sary ­long ­term mechan­ical ven­ti­la­tion sup­port ­until ­recovery.

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